| Regimental number | 2021 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Marine engineer |
| Address | Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Aunt, Mrs Florence Chamberlain, 58 Ordnance Road, Canning Town, London, England |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Discharged 9 January 1917 |
